Yes — a registered doctor can review your case online from Essen today. Every certificate type costs the same flat €34.99, issued as a PDF. It records what the doctor assessed, for use with an employer, school, club or insurer in Germany. It is not the eAU that a treating practice transmits to your Krankenkasse.
Last updated: 10 September 2026
Reviewed by Dr. Anjum Ilahi (MBBS, MS) GMC · Cardiology and MRCPI
✓ 200+ customers served in Essen
Getting a Medical Certificate in Essen
Essen sits at the heart of the Ruhr area, another city whose economy was once built on heavy industry and has since diversified into services, logistics and education. Several large corporate headquarters are based here today alongside a wide base of smaller services businesses, and sick-leave handling varies between the two, even though the statutory requirement underneath is identical.
The University of Duisburg-Essen brings a substantial student population to the city, and illness affecting exams, coursework or a placement there is handled through the institution's own formal process, with its own evidence requirements.
There's no waiting room to sit in and no premises in Essen to find — the whole assessment is online, carried out by a doctor registered to assess cases in Germany, wherever you are when you submit your case.
Essen carries a density of corporate head offices unusual for a city of its size. E.ON, RWE and Brenntag are DAX-listed and headquartered here; thyssenkrupp, HOCHTIEF and Evonik are in the MDAX; and ALDI Nord, Deichmann, Funke Mediengruppe and Medion are also based in the city — eight of Germany's hundred largest companies by turnover have their head office in Essen. Head-office employment tends to mean a formal HR function, a written absence policy, a company top-up to statutory sick pay, and a documentation requirement enforced consistently rather than informally. The practical consequence is worth knowing in advance: at an employer like that, when and how you submit matters as much as what you submit.
For care rather than paperwork the city is unusually well served. Universitätsmedizin Essen employs around 11,000 people across roughly 1,700 beds and fifteen subsidiary institutions including the Ruhrlandklinik, and the University Hospital Essen is the teaching hospital of the University of Duisburg-Essen's medical faculty; the Alfried Krupp Krankenhaus adds about 850 beds and 2,500 staff across its Rüttenscheid and Steele sites. The University of Duisburg-Essen itself has more than 40,000 students split between Essen and Duisburg campuses, so a large share of its students commute between two cities for teaching. For them the awkward case is rarely the illness — it is the documentation deadline that falls on a day when they are on the wrong side of the A40.
Corporate headquarters and services
Several large employers are headquartered in Essen today, part of the Ruhr area's shift away from heavy industry. Larger employers here often run formal HR processes.
University of Duisburg-Essen
A substantial student population. Illness affecting exams or coursework is handled through the institution's own process.
Logistics and diversified services
Part of the broader Ruhr-area shift towards logistics and services employment, alongside the traditional industrial base.
Club and school sport
Sports clubs across Essen commonly ask for medical clearance before participation, particularly for underage and contact sport.
All Certificate Types Available in Germany
Every certificate type is reviewed by a licensed doctor via a genuine video consultation and assessed against German requirements. Choose the one that matches your situation.
Sick Leave Certificate (AU)
Issued as an Arbeitsunfähigkeitsbescheinigung (AU) for work absence in Germany, after a real video consultation, and transmitted electronically (eAU) to your Krankenkasse and, where required, your employer.
From €34.99Sports Fitness Certificate
For German school sports, Sportverein youth football and handball clearance, and competitions requiring medical fitness confirmation. Valid 12 months.
From €34.99General Fitness Certificate
For German gym membership and personal training sign-up where a health declaration is requested.
From €34.99General Medical Certificate
For insurance claims, visa applications, and other general documentation needs in Germany.
From €34.99How It Works in Essen
Complete assessment
3-5 minutes. Select your certificate type, confirm Germany as your country, and answer relevant health questions. No payment yet.
Doctor conducts a video consultation
A licensed physician reviews your case and, for sick leave (AU) certificates, completes a genuine video consultation with you, as required under German law. Reviewed during German business hours (9am-6pm CET/CEST, Monday-Friday). May request more information.
Receive your PDF
Emailed same day, usually within 30 minutes of approval, with doctor credentials and a verification reference. For AU certificates, your doctor also completes the eAU transmission to your Krankenkasse where required.
Who Asks for a Medical Certificate in Essen
Essen employers
A certificate from a doctor registered to assess cases in Germany satisfies the documentation most employers ask for. Under §5 EntgFG, your employer may require it from day 1 or day 4, depending on your contract.
University of Duisburg-Essen and colleges
Commonly requested as supporting evidence where illness has affected exams, coursework or a placement. Each institution sets its own requirements.
Clubs and gyms
Sports clubs and gyms across the city may ask for medical clearance before participation, particularly for contact sport.
Insurers and other bodies
General medical certificates are sometimes requested for insurance claims or similar administrative purposes, where what matters is that a genuine assessment took place.
Germany Pricing: All Certificate Types
| Certificate Type | Our Price | Typical Private Visit |
|---|---|---|
| Sick Leave Certificate (AU) | €34.99 | €50-€120 |
| Sports Fitness Certificate | €34.99 | €50-€120 |
| General Fitness Certificate | €34.99 | €50-€120 |
| Fit to Fly Certificate | €34.99 | €50-€120 |
| Return to Work Certificate | €34.99 | €50-€120 |
| General Medical Certificate | €34.99 | €50-€120 |
Typical private in-person doctor visit costs are general ranges reported for German private consultations and vary by clinic, specialty (a sports medicine or travel-clinic assessment can cost more than a routine GP visit), and location within Germany.
The price difference mainly reflects convenience rather than a lower quality of assessment: a genuine video consultation with a licensed doctor still takes place for AU certificates, and you avoid travel time, waiting-room time, and the need to take unplanned time off to visit a practice in person. For non-AU certificate types, such as a fitness or fit-to-fly certificate, our fixed price also removes the uncertainty of a private clinic's individual consultation fee, which can vary considerably between providers and cities.
Germany Legal Snapshot: What Applies in Essen
Sick-leave and certificate rules are set nationally, so what follows applies in Essen exactly as it does anywhere else in Germany.
Yes — you can get a medical certificate (doctor's note) in Germany online, reviewed by a registered doctor and usually issued the same day, from €34.99. In Germany, the standard sick-leave document is the Arbeitsunfähigkeitsbescheinigung (AU): literally the "certificate of incapacity to work." The statutory minimum is that employers can require an AU from day 4 of illness, though many employers use their contractual right to request one from day 1. Since 2023, the AU has been transmitted electronically as the eAU, sent directly between your doctor, your statutory health insurer (Krankenkasse), and your employer. For sport, gym, travel, or general purposes, a separate certificate type applies. See the full list below. In everyday English this is often just called a doctor's note for Germany, even where the official local term differs.
| Local document name | Arbeitsunfähigkeitsbescheinigung (AU): German for "certificate of incapacity to work." Often just called a Krankschreibung in everyday speech. |
|---|---|
| Statutory minimum | An AU can be required by your employer from day 4 of illness |
| Employer-specific rule | Many employers use their contractual right under German law to require an AU from day 1 of absence instead. Check your contract or ask HR which rule applies to you |
| Who can legally issue it | A licensed physician (Arzt), after a genuine clinical assessment carried out in person or by video consultation |
| Electronic transmission (eAU) | In place since 2023: the AU is sent directly between your doctor, your Krankenkasse, and, where applicable, your employer |
| Submission deadline | Inform your employer without delay, and submit the AU per your employer's required timeline (day 1 or day 4, depending on company policy) |
| Governing framework | §5 of the Entgeltfortzahlungsgesetz (EntgFG, the Continued Remuneration Act) |
| Data protection law | DSGVO, the German name for the EU General Data Protection Regulation (GDPR), which applies directly, together with the BDSG (Bundesdatenschutzgesetz), Germany's national law supplementing it |
Note on day-1 vs day-4 rules: German law sets day 4 of illness as the statutory minimum point at which an employer can require an AU. In practice, many employment contracts and company sickness policies validly require an AU from day 1 of absence instead. Confirm which rule applies to you with your employer or HR department before you rely on either timeline.
Our Germany Medical Team
Every Germany certificate is reviewed by a doctor registered to assess cases in Germany. Physicians practising in Germany are subject to oversight by the Bundesärztekammer (German Medical Association) together with the relevant state medical chamber (Landesärztekammer), and registration details can be independently checked through those bodies. A clinician will only issue a certificate, including an Arbeitsunfähigkeitsbescheinigung (AU), after a genuine video consultation, and only if it is clinically appropriate to do so; if it is not, you receive a full refund.
Registered practitioners, not a call centre.
Every doctor is independently verified against their national medical council before they see a single patient - including for patients in Essen.
Dr. Christine G.
Reg. #Dr. Michael K.
Reg. #Dr. Robert B.
Reg. #Dr. Susanne R.
Reg. #Medical Certificates in Essen: Common Questions
No. The assessment is completed online and reviewed by a doctor registered to assess cases in Germany, so where you are in the country makes no difference to the process or the price. This page exists because people search for their own city.
Our certificate is €34.99 flat, including the doctor's review, the PDF and its verification reference. A typical private in-person consultation in Germany commonly falls in the €50-€120 range. It is not a substitute for care — if you need to be examined or treated, see a doctor in person.
It depends on your contract. §5 EntgFG allows employers to require a certificate from day 4 of illness, but many employers use their own contractual right to ask for one from day 1 instead. Check your employment contract or staff handbook.
It can support an application, but each faculty sets its own evidence requirements and some ask for a specific form or wording. Check what your department actually requires first.
Same day, usually within 30 minutes of the doctor approving your case during business hours. Some cases take longer where the doctor needs more information before deciding.
It is a certificate of incapacity for work, signed by a doctor who is registered to assess cases here — which is what the statutory rule actually asks of you. Where it differs from the one your own practice issues is the channel rather than the standing: since January 2023 the statutory route is electronic, with the practice transmitting the data to your health insurer and your employer retrieving it from there, whereas a privately obtained certificate is a document you submit yourself. Both are doctor-issued; only one arrives via your Krankenkasse.
Three things, all of them in your own paperwork rather than in the law: the day from which a certificate is required, the route and deadline for notifying the absence, and whether documentation has to go through a named person or system. Large head offices commonly run absence through payroll software that retrieves electronic certificates automatically, so a PDF may need to go to HR as well as being logged. Ask before you are ill — one email saves an argument on the day you feel worst.
Sometimes, and it is worth asking. Employers that impose a documentation requirement from day one occasionally cover the cost of meeting it, and some occupational health or staff benefit schemes reimburse private medical fees. There is no statutory entitlement to reimbursement, so treat it as a question for HR rather than an expectation. The fee is €34.99 for any of the six certificate types.
General Fitness or General Medical, depending on how the request is worded — so read it closely. If it asks for a specific examination, such as hearing, vision or vaccination status, that needs an in-person appointment; a food-hygiene clearance runs through the public health office's own route; and a role with a statutory occupational-health requirement is a company doctor's job. Where the institution simply wants a doctor's statement that nothing stands in the way of participation, a General Fitness certificate covers it.
Cases reviewed during business hours are normally issued the same day, usually within about half an hour of the doctor's decision. Later in the evening it depends on review capacity, and a request arriving overnight may not be decided until the next morning — that is the honest boundary, so if a deadline falls at 06:00 it is safer to submit the afternoon before. If what you need out of hours is care rather than a document, 116117 is the medical on-call number and 112 is for an emergency.
A certificate anyone can check - in seconds.
Every certificate is issued by a doctor registered with their national medical council, after a real assessment, and carries a reference code that resolves instantly - whether your employer is in Dublin, Berlin or Warsaw.
- ✓Issued only after a genuine clinical review
- ✓Unique reference code, checkable by anyone
- ✓Covers sick leave, fitness-to-work & carer's leave
- ✓Delivered as a signed PDF within the hour
